New year, new rules

Politico summarizes what’s new as of January 1, 2011. Here’s their list:

  • Beginning Jan. 1, and at the start of any quarter between then and Jan. 1, 2014, states can elect to enact the Medicaid expansion early.
  • Over-the-counter drugs can no longer be covered by HSA or FSA plans without a doc’s note.
  • Medical loss ratio rules go into effect.
  • Deadline for the HHS Secretary to identify and publish a recommended core set of health quality measures for Medicaid-eligible adults
  • The Center for Medicare and Medicaid Innovation must be created.
  • Drug makers have to provide a 50 percent discount on brand-name drugs in the donut hole and generics are phased in.
  • Preventive care is covered with no cost sharing and primary care services get a 10 percent Medicare bonus.
  • Some payment changes for MA plans go into effect.
  • CLASS program begins.

This blog has kept up with a few of these issues in particular. Here’s what we have on medical loss ratios, the pharma changes, Medicaid expansion, prevention, and the CLASS Act.

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